Chronic periodontitis is a bacterial disease similar to gingivitis, but its definition is a loss of attachment. Gum tissue is usually red and swollen, but if the patient has fibrosis, this may not exist. Chronic periodontitis is initially thought to be an age-related phenomenon, but it is now known to involve host resistance in the response to periodontal disease. If the patient's attachment loses more than 30%, the patient has a generalized disease. Attachment loss affects less than 30 percent of the sites considered to be localized diseases. In addition, the amount of attachment loss can define the severity of periodontitis. Attachment 4 mm mild disease, 5 mm said a mild disease, and the attachment 6 mm or more losses, serious illness, according to Lindhe et al. 5 pocket depth cannot be used alone, to determine the extent of the disease process, because the conditions such as edema and hypertrophy can lead to a pocket depth reflection loss but not the attachment.
Moderate to severe illness usually shows bone loss in a radiological manner. Forgeminal bone loss may also be noted. The forked bone loss depends not only on the horizontal height of the bone, but also on the length of the root trunk. The length of the trunk can be determined by the rays, but the most effective way to do this is by using instruments like the Nabors probe. The horizontal depth of the bifurcation should be measured in millimeters and recorded. The intervention of clinical bifurcation may not be recorded in the form of imaging. In this case, the trunk of long roots protects against the effects of furcation. The loss of the forked bone complicates the treatment and outcome.
The mean length of the first molars from CEJ to maxillary first molars is mesial 3 mm, facial 4 mm, distal 5 mm. The average length of the maxillary first molar is from the entrance of CEJ to the mouth, which is 3 mm and 4 mm on the tongue. Early chronic periodontitis usually does not appear to be a fracture. Patients with periodontal disease should contact periodontal disease experts as soon as possible. Surgical bone transplantation is the most successful method of early bifurcation intrusion.
Recommended treatment options
Treatment of patients with chronic periodontitis can begin with ultrasound dental equipment and remove any of the supernormal deposits using a standard size method. The next step should be to use thinner tips, using thinner tips, according to the deposition characteristics. When using power meters, the preferred setting is the lowest energy setting, and still allows the deletion of deposits. Chapple et al7 shows that a semi-power setting is as effective as a full-power ultrasonic counter.
After completely removing the thinner tip, you should evaluate the root surface and use the area specific curets for the creation of hand instruments. The curet option is based on pocket terrain. The standard size curets can be used in deep, wide pockets. Mini curets should be used in narrow pockets. At this point, a fine probe is useful to evaluate the root surface. After the final manual tool is removed, a thin ultrasound can be used to remove any dirt or sludge from the root surface and smooth the root surface. Diamond files can be used as a final tool to achieve a smooth root surface without any deposition or coating. Antimicrobial agents can be used in moderate or severe cases. The final step is to polish the teeth and use fluoride.
The more advanced the disease, the longer the treatment. Early chronic periodontitis may require only 11 1/2 hours of testing. The effective treatment for moderate cases is two, each lasting 11/2 to 2 hours. During a visit, the right side of the mouth can be completed, and then on the next visit, the left side can be completed. In severe cases, it may take three hours or four 11/2 hours of access. If it is not impossible, it is difficult to establish a clear guideline for how long a specific case will take to be used well. Many variables exist, including the tenacity of storage, because of the root's anatomy, the depth of the pocket, the presence of excessive contact repair and the degree of inflammation and the difficulty of obtaining the root surface. Given the local conditions, available time, and the skill level of the clinician, the instrument continues until the root is free as far as possible.
Severe chronic periodontitis is the most difficult to treat. A few teeth are often lost. For patients with severe chronic periodontal disease, referral to periodontal disease specialists is the best treatment option.
conclusion
Hybrid dental supplies are modern treatments. It allows the sediment to be coarsely taken without damaging the root surface. At higher levels, use thinner tips on the root surface to remove sediment. Using a thinner tip with enough energy can remove the smallest amount of root surface damage. Subsequent manual tool steps allow you to adapt to the root and irregular root surfaces. The development of hand device design enables it to better adapt to the root surface. Use an improved method to complete irrigation in a low environment, remove debris from the hand, and smooth the root surface. This hybrid instrument protocol can also be modified by using drugs and/or other manual tools. Our goal is to effectively treat and improve the periodontal health of our patients.
